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Carbon Dioxide (Bicarbonate)

Test Overview

Carbon dioxide (CO2) is a gaseous waste product from metabolism. The blood carries carbon dioxide to your lungs, where it is exhaled. More than 90% of it in your blood exists in the form of bicarbonate (HCO3). The rest of it is either dissolved carbon dioxide gas (CO2) or carbonic acid (H2CO3).
Your kidneys and lungs balance the levels of carbon dioxide, bicarbonate, and carbonic acid in the blood.

This test measures the level
of bicarbonate in a sample of blood from a vein. Bicarbonate is a chemical that acts as a buffer. It keeps the
pH of blood from becoming too acidic or too
basic.

Bicarbonate is not usually tested by itself. The test may be done
on a blood sample taken from a vein as part of a panel of tests that looks at
other
electrolytes. These may include items such as sodium, potassium, and chloride.
It can also be done as part of an
arterial blood gas (ABG) test. For this blood
gas study, the blood sample comes from an artery.

Why It Is Done

A carbon dioxide test helps find and
checks conditions that affect blood bicarbonate levels. These include many
kidney diseases, some lung diseases, and
metabolic problems.

This test is often done as part of a group of lab blood tests (chemistry screen) to help find the cause of many kinds of symptoms.

How To Prepare

You do not need to do anything special to prepare for this test.

Be sure to tell your doctor about all the medicines you take, even over-the-counter ones. Many medicines can change the results of this test.

Talk to your doctor if you have any concerns about
the need for the test, its risks, how it will be done, or what the results will
mean. To help you learn about this test and how important it is, fill out the
medical test information form(What is a PDF document?).

How It Is Done

The health professional taking a sample of your blood will:

Wrap an elastic band around your upper arm to stop the flow of blood. This makes the veins below the band larger so it is easier to put a needle into the vein.

Clean the needle site with
alcohol.

Put the needle into the vein. More than one needle stick
may be needed.

Attach a tube to the needle to fill it with
blood.

Remove the band from your arm when enough blood is
collected.

Apply a gauze pad or cotton ball over the needle site as
the needle is removed.

Put pressure on the site and then put on a bandage.

How It Feels

The blood sample is taken from a vein in your arm. An elastic band is wrapped around your upper arm. It may feel tight. You may feel nothing at all from the needle, or you may feel a quick sting or pinch.

Risks

There is very little chance of a problem from having a blood sample taken from a vein.

You may get a small bruise at the site. You can lower the chance of bruising by keeping pressure on the site for several minutes.

In rare cases, the vein may become swollen after the blood sample is taken. This problem is called phlebitis. You can use a warm compress several times a day to treat this.

Bleeding can be a problem for people who have bleeding disorders or take blood-thinning medicines such as aspirin or warfarin (Coumadin). If you have bleeding or clotting problems, or if you take blood-thinning medicine, tell your doctor before your blood sample is taken.

Results

A carbon dioxide (bicarbonate) test measures the
level of bicarbonate in the blood.

These numbers are just a guide. The range for "normal" varies from lab to lab. Your lab may have a different range. Your lab report should show what range your lab uses for "normal." Also, your doctor will evaluate your results based on your health and other factors. So a number that is outside the normal range here may still be normal for you.

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How this information was developed to help you make better health decisions.